Not sure if COTH recalls my weirdo sinus infection with my sweet 5 year old: Bad luck or am I missing something? Sinus infection from hell
Basically after 4 weeks doxy/stall rest/previcox following the sequestrum surgery, he has not come back normally. What started as some maybe-weakness seems to be progressing into some notable neurological issues and of course there’s no obvious answer here, but I thought I would ask anyways:
- Main symptoms: tripping, behavioral issues. Refuses to go down hills or will act out when pushed. Painful with neck manipulation. Struggles walking in tight circles. Occasionally will seem to “black out” and lose awareness of his surroundings, whether that’s from pain or mental issues it’s hard to say. Worse on the right than the left.
- EPM bloodwork negative. The month of doxy should have taken care of tick illness in theory. Horse has not shown any other signs of illness - no fever, weight loss, muscle wasting, etc.
- Sports med vet who examined him felt the most unusual thing was that he was extremely dull and had no skin reflexes on exam.
- Ultrasound of the neck didn’t show arthritic changes, neck X-rays from prepurchase 2 years ago didn’t show congenital abnormalities. Did show inflammation so we injected facets c5-t1 and subscapular with steroid, plus mesotherapy on the neck. There was a notable improvement for about a week and I’d say we are back to where we started if not worse.
- Did foot balance X-rays just to rule that out, all looked good there
- Sports med vet didn’t note any limb lameness that he felt wasn’t attributed to weird neurological type movement patterns- swinging legs wide etc.
- 2x CT scans haven’t noted anything in the brain/poll, whether or not that would make a difference I have no idea
- Guttural pouch scope did show a pigmented area that could be indicative of more I nternal melanomas
- Currently balder on his neck than the rest of his body and was very into being curried over the weekend in that area until he got too into it, reached around at his flank to scratch at it, and scrambled to the far side of his stall to stand with his legs out wide like he was on a trailer and stare at me bug eyed for about 30 seconds like he had no idea who I was or how I got there. He was fine after that and came back over for more scratches.
New Bolton can’t get him in for 6 weeks, sports med vet comes Friday to recheck and shoot new neck X-rays, and we will pull vitamin E levels. Seems like our options on the table are: some kind of traumatic neck injury happened which has been getting worse even with rest, EDM, or some other thing causing spinal compression in the absence of notable arthritis or a congenital issue. All these options suck. The only thing that in my mind doesn’t point to an overall degenerative issue is how painful his neck is, but I can’t really fathom what could be happening in a neck that keeps getting worse with just normal horse life, isn’t arthritis, and doesn’t respond to injections for more than a week. On the other hand, I also don’t know what kind of neck injury causes horses to lose their skin reflexes and periodically seem to forget who the person next to them is and how they got there.
Of course insurance plays a role here with not having medical coverage for wobblers and only mortality if he is graded 3/5 ataxic or higher, but I don’t know that the info we have points in that direction anyways.
As always, appreciate the collective experience of COTH. There’s always someone here who has already been down whichever weird road you find yourself on.